Individual
ORDIE H. KING JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., PH.D.
Contact information
Practice address
6111 VOLLMER LN, GODFREY, IL 62035-1062
(618) 466-3645
(618) 466-3410
Mailing address
PO BOX 1166, ALTON, IL 62002-1166
(618) 466-3645
(618) 466-3410
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
—
IL
Other
Enumeration date
02/18/2007
Last updated
07/08/2007
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